List two (2) people who can be contacted to respond to the property where the alarm is located 24 hours a day, 7 days a week.

The applicant agrees that if a person to be notified either refuses to come to premises upon request of the Town Police Department or cannot be reached within a reasonable time by telephone or otherwise, the Town Police may, without any liability for any charges as a result of disconnection, or any liability as a result of responding to alarms, do either of the following: disconnect the system itself, if possible, or contact the installer to disconnect the system.

Approved by: _________________________________

Date: ____/____/____